Ot therapeutic activities direct patient contact each 15 minutes at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$85.74
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$182.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$35.94 with Passport by Molina vs $139.23 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Passport by Molina | Medicaid|All Plans | $35.94 | ↓ -58% |
| Humana | Medicaid|All Plans | $40.49 | ↓ -53% |
| Aetna | Medicaid|Better Health | $41.31 | ↓ -52% |
| United | Medicaid|All Plans | $42.14 | ↓ -51% |
| Wellcare | Medicaid|All Plans | $42.55 | ↓ -50% |
| BCBS - Anthem | Medicaid|All Plans | $43.38 | ↓ -49% |
| Humana | Commercial|All Plans | $94.86 | ↑ +11% |
| United | Commercial|All Other Plans | $100.44 | ↑ +17% |
| Aetna | Commercial|All Other Plans | $102.06 | ↑ +19% |
| Aetna | Commercial|PPO | $102.06 | ↑ +19% |
| Aetna | Commercial|HMO | $102.06 | ↑ +19% |
| Cigna | Commercial|All Other Plans | $102.06 | ↑ +19% |
| Cigna | Commercial|PPO | $102.06 | ↑ +19% |
| United | Commercial|Options | $111.69 | ↑ +30% |
| United | Commercial|Non-Options | $111.69 | ↑ +30% |
| United | Commercial|PPO | $118.26 | ↑ +38% |
| Multiplan | Commercial|All Plans | $139.23 | ↑ +62% |
Visitor-reported prices
Comments
Ot therapeutic activities direct patient contact each 15 minutes at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $73.11 | $39.60 – $147.42 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $77.62 | $35.60 – $117.39 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $53.51 | $24.80 – $132.86 |
| CHI Saint Joseph Health - Saint Joseph London | London | $48.53 | $19.43 – $123.76 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $86.13 | $29.99 – $154.70 |
| Adventhealth Manchester | Manchester | $115.45 | $32.82 – $32.82 |